Volume 03 Issue 05-2023
16
International Journal of Medical Sciences And Clinical Research
(ISSN
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2771-2265)
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Servi
ABSTRACT
In order to prevent some of the observed complications from the above-mentioned methods of treatment, i.e.
Kirschner needle, bone sutures, during the development of medicine, titanium microscrews and miniplates are being
used for modern treatment. By using microscrews and miniplates, it has been possible to achieve stable fixation of
fracture fragments and treatment of mandibular fractures by non-burning method.
KEYWORDS
Methods of treatment, i.e. Kirschner needle, bone sutures, during the development of medicine, titanium microscrews
and miniplates
INTRODUCTION
Thus, when special medical services are provided to
patients, operative or conservative treatment
methods are used. In some treatment methods,
various complications can be observed from 5.5% to 41%
(Shargorodsky A.G. 2000y.; Dmitriev V.V. 2000y.
Krasnyy A.G. 2000; Dufash I.Kh., 2003; Uvarova A.G.
2004; Malyshev V.A., Kadyrov M.Kh., 2005; Belchenko
Research Article
FEATURES OF MANDIBULAR FRACTURES
Submission Date:
May 05, 2023,
Accepted Date:
May 10, 2023,
Published Date:
May 15, 2023
Crossref doi:
https://doi.org/10.37547/ijmscr/Volume03Issue05-03
Kholikov Azizbek Alimurodovich
7 city hospital of Tashkent city, Uzbekistan
Fattayeva Dilorom Rustamovna
Tashkent State Dental Institute, Uzbekistan
Daminova Aziza Olimjonovna
Tashkent State Dental Institute, Uzbekistan
Journal
Website:
https://theusajournals.
com/index.php/ijmscr
Copyright:
Original
content from this work
may be used under the
terms of the creative
commons
attributes
4.0 licence.
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V.A., 2006; Telnykh R. Yu. 2008; Magomedgadzhiev
B.G. 2008; Benson PD 2006. Ernes Y., 2009.).
Figure 1. Schematic representation of the osteosynthesis operation in the case of fracture of the joint growth.
Posttraumatic complications can be caused by general
and local factors. Common factors that slow down the
osteoreparation process include diseases and
conditions that reduce the div's reactivity and slow
down
bone
regeneration:
tuberculosis,
hypovitaminosis, dystrophies, cardiovascular diseases,
metabolic disorders, brain injuries, patient's age
(Yaroshkevich A.V. 1990; Stryuk E.V., 1990; Ruzin G.P.
2007; Sivtseva T.A. 1993; Yakubov R.K. 1994;
Makarenko
V.V.
1998;
Durnova
E.A.
1998;
Kontorshikova K.N. 1992, 2000; Volozhin A.I., 1996.
Robustova T.G. 1995.; Shirokov V.Yu., 1997; Shvyrkov
V.Yu., 1999; Macias J. 1993 y.; Small EW 1994 y.).
Limitation of the chewing process associated with the
movement of the jaws of patients leads to a violation
of the chewing process, which affects their general
condition and slows down the ossification process in
the case of a fracture or post-traumatic defect
(Karapetyan I.S. 1989; Mirzakulova U.R. 1992; Shmat S.
.M. 1992;). Slow consolidation of bone fractures is
related to the state of the div's immunity (Askalonov
A.A., 1983; Kargopolova I.I. 1987; Asnina S.A. 1988;
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Filippov S.V. 1996; Melengberg T. V. 2001; Astakhanov
A.S., Pachenko V.M. 2002). 1987; Asnina S.A. 1988;
Filippov S.V. 1996; Melengberg T.V. 2001; Astakhanov
A.S., Pachenko V.M. 2002). 1987; Asnina S.A. 1988;
Filippov S.V. 1996; Melengberg T.V. 2001; Astakhanov
A.S., Pachenko V.M. 2002).
Local factors that cause complications in the field of
bone fractures include failure to go to the hospital in
time, insufficient immobilization of fragments,
interposition of soft tissues, presence of infected teeth
in the fracture line, lower alveolar nerve trauma,
insufficient blood supply to bone fractures (Pankratov
A.S. 1995y ; Shvyrkov M.B. 1999.; Dmitriev V.V. 2000.;
Shargorodsky A.G. 2004.; Borovoy V.N. 2000.;
Bakhteeva G.R. 2012.; Dmitrilous G. 1991.; Willson R. .,
1999, Erness Y., 2009.).
1.2. Contemporary Thoughts on Bone Regeneration.
Restoration of lost tissues is one of the evolutionary
features of living organisms. Therefore, regeneration
processes have been attracting the attention of
scientists for a long time (Dukas L., Bonnick SL 2005y.;
Ivaska KK 2005y.; Shulman L., 2006y.). In a broad sense,
regeneration
is
the
natural
replacement
or
replenishment of parts lost or separated as a result of
a pathological and traumatic process with various cells
and tissues. The regeneration process is traditionally
divided into two types:
1)
Physiological.
2)
Reparative.
Physiological regeneration (remodeling, remodeling) -
replacement of cells and tissues after their loss, which
occurs during normal life activity of the organism. Such
processes can be seen in the skin epithelium, mucous
membranes, as an example of the blood-vascular
system. Skeletal bones, which form the basis and
support of the div, are constantly renewed due to
physiological remodeling that occurs simultaneously
with resorption and bone formation.
Remodeling has three tasks:
1) changing the structural anatomy of the tissue in the
following way, the trabeculae and structures under the
influence of movement and pressure are maximally
strengthened, the bone beams under less influence
become thinner and undergo bone resorption in this
area (Wolff's law: form is the result of function).
2) control of calcium and mineral homeostasis;
remodeling occurs only in some structures, the number
of which can reach several million;
3) the growth factors fall into the bone tissue in the
form of deposits in the circulatory area, exerting not
only its physiological effect in the immediate area, but
also as a regulator in the distant areas (Desyatnichenko
K.S. Baldin Y.P. 1995y.; Garnero R. Piperno M. Gineyts.S.
2004. Sarkar S., Reginster JY, Crans GG et al. 2004.
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Charles H. Chesnut I, Sharmilla Majumdar, David C.
2005. Cheng S., Nenonen A. Ivaska KK et al., 2005. .).
Physiological bone regeneration of the facial skeleton
is a multi-step process of modeling as the bone grows
in length and width. During this period, it acquires its
own character, the bone barriers between the teeth
and between the roots develop.
In the internal structure of the growing bone, the
process of remodeling (remodelling) corresponding to
the functional pressure and change of the jaw
apparatus is characteristic. These processes are more
active in the alveolar bone than in other skeletal bones.
Restoration of cells and tissues in tissues and organs
after various pathological processes or injuries is called
reparative regeneration. Physiological and post-
traumatic bone tissue regeneration occurs due to
cellular elements involved in the reconstruction of
bone tissue: periosteal and endoosteal cells,
perivascular cells of newly formed vessels, circulating
blood of mesenchymal origin (Rodionova N.V. 1999y.;
Lalykina K. S. , Friedenstein A. Ya. 1973y.).
The problem of bone tissue regeneration is one of the
most relevant and interesting in modern surgery and
dentistry. The deficiency of bone tissue of the
maxillofacial region occurs as a result of traumatic
diseases of the bones of the facial skeleton,
intraosseous formations, with complicated extraction,
reconstructive interventions, dental implantology,
various bone plastic surgeries (A.A. Koroteev.2007) .
It is known that the restoration of volumetric bone
defects often takes a long time (up to 4-5 years) and
does not always occur in full. The presence of
concomitant pathology can contribute to an even
greater increase in the terms of regeneration (G.V.
Mkrtchyan.2011).
To date, the possibility of controlling the process of
osteoreparation through the use of regeneration
stimulators of different structure and origin has been
theoretically substantiated and clinically proven.
Therefore, the purpose of the dissertation was to study
clinically substantiate the effectiveness of the use of
synthetic osteoplastic material "Osteon TM II
Collagen" in the complex treatment of patients with
mandibular fractures with bone defects.
The monograph is a modern scientific work devoted to
improving the results of treatment of patients with
fractures of the lower jaw.
When reading the introduction, where the relevance of
modern surgical treatment of fractures of the lower
jaw is argued, the need for its further study, depending
on the form and the presence of complications. The
work also highlights the anatomical and physiological
structure, clinical signs of various types of fractures of
the mandible, a comprehensive examination, a
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detailed objective examination, laboratory and
instrumental diagnostic methods. The therapeutic
tactics before and after the surgical period, modern
methods of surgical treatment are described in detail.
The monograph is written in an accessible and
understandable Russian language and is an excellent
guide for doctors of maxillofacial surgeons and other
related specialties. It should be pointed out that the
work was carried out at a modern scientific and
methodological level, has scientific and practical
significance.
Effects of osteoplastic material on animals were
studied in experiment and clinical practice. Animal
experiment 08.2020 Tashkent State Stomatological
Institute academician Zufarov K.A. "Department of
Medical Biology and Histology" laboratory named after
the head of the department Ph.D. Rakhmatova M.Kh.
was carried out together with Since 2016, clinical
practices have been carried out in the Department of
Oral and Maxillofacial Surgery of Clinical Hospital No. 7
of Tashkent city.
As we mentioned earlier, the experimental part of the
work was carried out in 30 sexually mature chinchilla
breeding rabbits with an average weight of 3.5 kg. In
accordance with the purpose of the experiment, 20
animals were used in one of which the osteoplastic
material "OsteonTM IICollagen" was used - the main
group and one control group in which no drug was
used.
The duration of feeding rabbits did not exceed 60 days,
taking into account the weekly period of adaptation of
animals to new conditions after entering the vivarium
and placing them in cages. Animals of different groups
were kept separately from food and water during the
experiment.
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